Inspection on 01/06/05 for Wood Dene

This inspection was carried out on 1st June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Wood Dene 06/11/06

Wood Dene 03/11/05

Wood Dene 01/12/04

Wood Dene 11/08/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Wood Dene Colliery Approach Outwood Wakefield WF3 3JH Lead Inspector Tony Railton Unannounced 1 June 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Wood Dene J51J01_s6228 wood dene_v227131_010605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Wood Dene Address Colliery Approach Outwood Wakefield WF3 3JH 01924 825252 01924 871972 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Life Links Ltd Ms Gwenn Coltman Care Home 16 Category(ies) of 16 YA Learning Disabilities. registration, with number of places Wood Dene J51J01_s6228 wood dene_v227131_010605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: There are no conditions of registration. Date of last inspection 1st June 2005 Brief Description of the Service: Wood Dene continues to provide accommodation and personal care for 16 people who have a learning disability and in particular Autistic Spectrum Disorder . Specialist training is provided for all workers and autism specific day care services are also offered on a different site close to Wood Dene. All people living in the home have their own room which is en-suite. Wood Dene comprises of two eight bedded units each with its own kitchen, lounges and dining rooms. The care provided is based on ordinary living principles and there is an expectation that people do as much for themselves as possible within an agreed planned framework. Set back in its own grounds the home is situated in a residential part of Lofthouse on the outskirts of Wakefield. It has a small garden to the front and a larger garden to the rear. It is close to a main bus route and Outwood Rail Station and the M1/M62 link roads are close by. There are local shops, post office and public houses within walking distance from the home and Wakefield city centre and all services and amenities are only a few minutes journey away. Wood Dene J51J01_s6228 wood dene_v227131_010605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector arrived early at 08.30 for this 5 hour unannounced inspection to observe clients daily morning routine. There was the opportunity to speak to the care manager, five clients and four support workers. Some clients’ case files, staff files and other records were examined and the home inspected. The inspector was given a warm welcome by clients and support workers and would like to thank everyone for their hospitality, co-operation and patience throughout the inspection. What the service does well: What has improved since the last inspection? There have been many improvements and changes to the way the home looks since the last inspection. Everywhere has been decorated and provided with new furniture. Clients and staff spoken to said that “it looks much better” and that “its clean and bright”. The care manager said that the home is “much better and more homely for clients”. One client said that she “likes her bedroom” and that “its nicer now”. People living in the Wood Dene J51J01_s6228 wood dene_v227131_010605.doc Version 1.30 Page 6 home have their bedrooms how they surrounded by their own possessions. What they could do better: want them and are On the day of the inspection some bad practices were observed to do with the giving and recording of medicines which could put people living there at risk. The person responsible for running the home needs to look at the way medicines are dealt with and provide an action plan stating how these things will be put right. Clients would benefit if more of the staff had a national vocational qualification in how to care for people at level 2 or 3. Some care plans need to be looked at on a more regular basis to see if they are working. A date and signature on the care plans would show that they had been looked at or when changes had been made. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Wood Dene J51J01_s6228 wood dene_v227131_010605.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Wood Dene J51J01_s6228 wood dene_v227131_010605.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,&5. The home provides a good assessment system for clients which includes their individual hopes and aspirations and ensures that clients support needs are identified before they are admitted to the home. EVIDENCE: The case files including assessments, care plans and reviews show that clients care needs are assessed and acted upon. Records also show that everyone is provided with and protected by having a written contract with the home. The manager said that the Statement of Purpose and Service User Guide will need to be amended to show the change of ownership and in particular the name of the ‘responsible individual’ who’s job it is, along with the manager, to make sure the home runs properly. Wood Dene J51J01_s6228 wood dene_v227131_010605.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9,&10. There is a clear and consistent care planning system in place which provides staff with the information they require to meet clients needs. EVIDENCE: Examination of some of the care plans and risk assessments showed that staff are provided with information about how to care for clients living in the home. Some clients are very able and have agreed and signed their own care plans which is good as they know what they need and how those needs can be met. Risk assessments also show workers what they must do to minimise any risks to people living in the home. Multidisciplinary reviews are arranged to discuss and make sure people are getting the care they need and what is said at these meetings is written down. Some care plans show that they need to be checked by staff more regularly to make sure clients are getting the care they require. The daily records show that people in the home are Wood Dene J51J01_s6228 wood dene_v227131_010605.doc Version 1.30 Page 10 encouraged and supported to make decisions about what they do and how they live their lives. Wood Dene J51J01_s6228 wood dene_v227131_010605.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16, & 17 Links with the community are good and support and enrich clients’ social and educational opportunities. EVIDENCE: The care plans, individual activity programmes and daily records show that clients are offered opportunities to develop their personal and social skills. Discussion with the clients, care manager and support workers indicates that ordinary community based leisure services are used as well as specialist day care services. One client said that she “likes staying at home and cooking”. One senior support worker said that clients visit the local public houses and clubs on a regular basis and are well known in the community, the daily records confirmed this. The care manager said that to help people keep their independence and to learn new skills they are Wood Dene J51J01_s6228 wood dene_v227131_010605.doc Version 1.30 Page 12 encouraged and supported by staff to choose their own menu and help in preparing meals. Wood Dene J51J01_s6228 wood dene_v227131_010605.doc Version 1.30 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20, & 21 On the day of the inspection the systems for the administration of medicines was poor and could potentially place clients at risk. EVIDENCE: Clients care plans, medical records and reviews showed that their healthcare needs are met by ordinary community based healthcare services. They also showed that there is specialist advice and support available from other community and hospital based healthcare professionals if clients need it. Despite having a comprehensive and up to date policy and procedure for the safe ordering, storage, administration and recording of medicines on the day of the inspection there were a number of bad practices observed such as putting all clients medication in medicine pots without clients names on before clients are there to take them. Putting PRN medication in envelopes for clients going out of the home. Some of these were not signed or dated. These practices should cease as they place clients at risk. The care manager said that she will review the medicine administration process in the home to make them safer. Wood Dene J51J01_s6228 wood dene_v227131_010605.doc Version 1.30 Page 14 Wood Dene J51J01_s6228 wood dene_v227131_010605.doc Version 1.30 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 The home has a satisfactory complaints system with some evidence that clients feel that their views are listened to and acted upon. EVIDENCE: The complaint records and client meeting minutes show that people do have the opportunity to comment on how they are cared for. The manager and support worker said that some people living in the home are very able and can say what they think and what they want. The records show that staff do listen to what people say and change things to make them better. Wood Dene J51J01_s6228 wood dene_v227131_010605.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,29 & 30. The standard of the environment within this home is good providing clients with an attractive and comfortable place to live. EVIDENCE: There have been many improvements to the physical environment since the last inspection. Both houses have been totally redecorated and re-furbished. All areas of the home look new and there is new furniture in the lounges, kitchens, dining rooms and bedrooms. The care manager said that there has been a considerable investment to make things look homely and comfortable. The care manager went on to say that to keep on top of things she still intends to provide a plan of maintenance and decoration to keep the home looking nice. Wood Dene J51J01_s6228 wood dene_v227131_010605.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35 & 36. Staff have a good understanding of clients support needs. This is evident from the positive relationships, which have been formed between support workers and clients. EVIDENCE: Discussion with the care manager and examination of the staff training records showed that clients’ safety and wellbeing is promoted by the training offered to support workers. Specialist training in behaviour management and Autism also ensures that clients care needs are appropriately met. Records also show and the manager said that there is a need to have more staff with a National Vocational Qualification. More NVQ qualified staff would help maintain and raise care standards within the home. Wood Dene J51J01_s6228 wood dene_v227131_010605.doc Version 1.30 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,41,42 & 43 The systems for clients’ consultation are good with a variety of evidence that indicates that their views are both sought and acted upon. EVIDENCE: Examination of clients and staff records show that clients rights and best interests are promoted and protected by the homes policies and procedures regarding their health and safety, finances and record keeping. Records also show that clients also benefit from the management approach of the home which creates an open, positive and inclusive atmosphere. Wood Dene J51J01_s6228 wood dene_v227131_010605.doc Version 1.30 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 x Standard No 31 32 33 34 35 36 Score 3 2 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Wood Dene Score 3 3 1 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 J51J01_s6228 wood dene_v227131_010605.doc Version 1.30 Page 20 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA 20.6 Regulation 13 (2) Timescale for action The registered person shall make 1/ 7/05 arrangements for the recording, handling safe keeping and disposal of medicines into the home.The registered person shall provide an action plan indicating what action will be taken to address this Requirement RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. Refer to Standard YA 1.1 &1.2 YA 6 Good Practice Recommendations The Statement of purpose and service user guide should be updated to reflect the change in responsible individual. Some care plans should be reviewed on a more regular basis. YA20.6 Medicines in the custody of the home should be handled according to the requirements of the Medicines Act 1968 and guidelines from the Royal Pharmaceutical Society. YA24.24.12 The home should have a planned maintenance and renewal programme for the fabric and decoration of the premisis. YA32.5 Care staff should hold an NVQ Level 2 or 3 Wood Dene J51J01_s6228 wood dene_v227131_010605.doc Version 1.30 Page 21 Commission for Social Care Inspection Park View Woodvale Office Park Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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